Kelly Oliver Spann (NPI# 1003990441, PAC ID# 8527051291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003990441 |
| PAC ID by PECOS | 8527051291 |
| Professional Enrollment ID | I20040407000859 |
| Full Name | Kelly Oliver Spann |
| Organization Legal Name | MARY IMMACULATE HOSPITAL |
| Address |
2 Bernadine Dr Newport News VA 23602-4404 |
| Phone Number | 7579473838 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042124042 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490041 | BON SECOURS MARY IMMACULATE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12720 Mcmanus Blvd, Suite 305, Newport News, VA 23602-4414 | 7579473170 | MARY IMMACULATE HOSPITAL |
| 2 Bernadine Dr, Newport News, VA 23602-4404 | 7579473838 | MARY IMMACULATE HOSPITAL |
| Organization Legal Name | MARY IMMACULATE HOSPITAL |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Griswold | Family Practice | Mary Immaculate Hospital | 2 Bernardine Dr, Newport News, VA 23602-4404 |
| Anthony Terracina | General Surgery | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Dewey S Steele | Physician Assistant | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Christina Sanchez | Nurse Practitioner | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Michelle Lee Rhodes | Physician Assistant | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Lynda Carol Marroletti | Nurse Practitioner | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Julie A Nutter | Nurse Practitioner | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Susan E Ferrandino | Nurse Practitioner | Mary Immaculate Hospital | 12720 Mcmanus Blvd, Newport News, VA 23602-4486 |
| Street Address |
2 BERNADINE DR |
| City | NEWPORT NEWS |
| State | VA |
| Zip | 23602-4404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian Carlo Dews Sr. | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Michael W Cieslinski | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Eric R Van Buskirk | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Nadia Mahmoud Eltaki | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Sherron M Benn-thompson | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Joleen Nadine Liburd | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Anthony Terracina | General Surgery | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Patrick A Oliver | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Dewey S Steele | Physician Assistant | Mary Immaculate Hospital | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Sakuntla Kondragunta | Internal Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica B Fowler | Optometry | Myeyedr Optometry of Virginia, Pllc | 12300 Jefferson Ave, Suite 126, Newport News, VA 23602-0003 |
| Leana Aungst | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Martin A Payne | Emergency Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Emlyne St Helen | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Amanda V Chance | Internal Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Nakita Letitia Harris | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Shereka Jenkins | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Dana Jean Keys Frezzell | Internal Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Rachel M Norum | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Amaris Irina Tanasescu-koga | Family Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Find all physicians in zip 23602 | |||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWPORT NEWS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Oliver Spann.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.